Individual provider Active NPI

Bilge Adsay-Erdem, D.D.S.

  • Dentist
  • Newark, NJ
National Provider Identifier
1164641635
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL019787 Issued in NJ
Practice address
604-608 Market St
Suite 3a
Newark, NJ 07105
Phone
(973) 465-8885
Fax
(973) 465-8838
NPI assigned
Apr 24, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL019787 NJ Primary
General Practice Dentistry 1223G0001X 22DI01978700 NJ

Addresses

Primary practice location

604-608 Market St
Suite 3a
Newark, NJ 07105

Mailing address

604-608 Market St
Suite 3a
Newark, NJ 07105-0000
Phone (973) 465-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DL019787NJMDDentist
22DI01978700NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Dental Center Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1164641635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604-608 MARKET ST",
            "address_2": "SUITE 3A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071050000",
            "telephone_number": "973-465-8885",
            "fax_number": "973-465-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604-608 MARKET ST",
            "address_2": "SUITE 3A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-465-8885",
            "fax_number": "973-465-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADSAY-ERDEM",
        "first_name": "BILGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DL019787",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01978700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.